Stiffening of the metatarsophalangeal joint, arthrodesis Großzehengelenk
For very young age, active patients, preference is still predominantly Großzehengrundgelenksversteifung.
Preferred because of the lack of long-term experience of Großzehengrundgelenksendoprothetik this procedure because of the good functional results.
What is being made operative at a Großzehengrundgelenksversteifung or arthrodesis of the metatarsophalangeal joint?
Objective of Großzehengrundgelenksversteifung is that to unite the two bones of the proximal phalanx of the toe and the metatarsal bone in a certain position in order to achieve a bony fusion. To this end, the original articular cartilage is destroyed or removed, with inset of articular cartilage. The adjacent bony components are freshened and fixed with screws, back plate. These also have their role to secure just yet. Then the bones bear the corresponding burden.
What restrictions exist for the patient / patient?
Through a Großzehengrundgelenksversteifung changes occur during the rolling of the foot. Arthrodesis is useful to reduce pain in the metatarsophalangeal joint, especially under extreme strain. The postexercise symptoms are therefore the main indication for surgery. Compared to a Großzehengrundgelenksprothese is bracing for outbreaks of the metatarsophalangeal joint loosening of the prosthetic material by excessive mechanical stress possible.
Consequence of restrictions on other extremities such as knees, hips, spine in the area of the metatarsophalangeal joint with a stiffness and corresponding deposits also supply the other is assessed as low as possible, although the need for surgery are certainly strictly a function of the existing complaints.
The ability to use today Großzehengrundgelenksprothesen with preservation of joint mobility, must be discussed with the patient / patient. Depending on the patient's wishes is always an alternative prosthetic care possible.
The retreatment looks at a Großzehengrundgelenksversteifung?
Großzehengrundgelenkszehenversteifungen need Durchbauungszeit of about 6-8 weeks. At this stage, rolling over the metatarsophalangeal joint is vital to avoid.
A load on the heel is not possible in the first days. Only decongestant action, elevation, cooling, Antiphlogistikaeinnahme and lymphatic drainage can help, too.
After frustraner, conservative treatment of the bale cutters are only partially operational therapies helpful to alleviate the suffering. 
